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Cheng-Hock Toh: The Paradox of Hematology
Photo: liverpool.ac.uk
Feb 23, 2026, 15:32

Cheng-Hock Toh: The Paradox of Hematology

Cheng-Hock Toh, Chair at National Blood Transfusion Committee,Professor of Medical Haematology at the University of Liverpool and Liverpool University Hospitals NHS Foundation Trust, shared on LinkedIn about a recent article he and Elisabeth Buggins co-authored, adding:

“The Visibility Problem

The Paradox of Hematology:

Because it is involved in everything, it is recognised in nothing.

  • Abnormal bloods? ‘Ask haematology.’
  • Clotting issue? ‘Ask haematology.’
  • Transfusion problem? ‘Haematology should fix it.’
  • Chemotherapy complication? ‘Haematology input needed.’

Yet haematology is rarely present in:

  • digital design discussions
  • workforce planning
  • strategic NHS conversations

This invisibility has consequences — for safety, staffing and sustainability.

  • We saw this clearly in transfusion practice.
  • We see it in anticoagulation.
  • We see it across cancer pathways.

When the discipline at the centre of medicine is treated as peripheral, systems begin to fail at the edges.”

Title: Transfusion safety continues to be compromised in the NHS

Authors: Cheng-Hock Toh, Elisabeth Buggins

Read the Full Article on The British Medical Journal.

Cheng-Hock Toh: The Paradox of Hematology

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